Want better results? Start using better data.

Health care provider data is the ultimate moving target. It's difficult to collect. It's even harder to maintain. Resources to manage it are scarce. And identifying and fixing errors puts a drain on your business. Think about the time and money you'll save when you work with better data from the start. The better your provider data, the better your provider file, and the more successful your business will be.

Your directory doesn't get a second chance to make a good impression. We're experts at getting it right.

Bad provider data in your directory is bad business. When you include disconnected phone numbers and addresses that lead to dead-ends, you frustrate members. You could anger providers. And you could even harm your bottom line. When your provider directories are accurate and up-to-date, your members are happy. Your providers are satisfied. And you don't waste your time fixing bad data. Leave that to the experts, so you can focus on more important things.

Are master files getting the best of you? We make them easy to manage.

Managing your HCP customer master is the ultimate moving target. It's difficult to collect. It's even harder to maintain. And resources to manage it are scarce. Think about the time and money you'll save when you give your staff better data from the start. Improving provider data reduces duplications, errors, missing information, and inconsistencies, and alerts you to new practice locations. The better your customer master, the more successful your business will be.

Your sales force is only as successful as the information they have to work with. Bad fax or phone numbers, bad contact information, specialty errors, and lack of accurate affiliation information all waste time, drain your business, and put you at risk for compliance issues. Arm your sales force with the detailed customer and affiliation information they need by bringing accurate provider information into view. Enclarity gives you the insight to plan your sales and marketing strategy with confidence.

Is bad data standing in the way of your compliance reporting? Better data means better results.

Industry Benchmarks

Your ability to achieve industry benchmarks and requirements can make or break your business. Don't let the quality of your provider data stand in the way of important metrics such as NCQA certification, PDQI, and ISO 9000. Improve your health care provider data with Enclarity and improve your business.

State and Federal Reporting

If you can't meet State and Federal reporting requirements, you're out of the game before it's even started. Enclarity can fix provider data so you're better able to track Aggregate Spend, Corporate Integrity Agreements, medical loss ratio, and late payment interest.

Is your provider data running you? We pull it all together in a single view.

When your provider databases exist in silos, you can't get an accurate view of your health care providers. Eliminating duplicates, resolving inconsistencies, and rolling all the provider information you need together in one place isn't like flipping a switch. That's what makes Master Data Management (MDM) so hard. Don't let provider data manage you. Leave it to the experts at Enclarity.

Need to cut costs and improve provider communications? We can help.

Returned mail. Bad phone numbers. Unsecure fax numbers. Email bounces. If your provider communications aren't working as well as they should, Enclarity has the solution. We give you the most accurate, up-to-date health care provider contact information available to make sure your communications reach their targets. You save time and money with more reliable, secure, and measurable results.

Need to identify new healthcare providers to compete? New data gives you traction.

Network Growth and Analysis

Knowledge is power. The better you're able to identify who's missing from your provider networks, and who's contracting with your competition, the more successful your network strategy will be. Enclarity has correct, current and comprehensive information for every health care provider in the country.

Need to identify new health care providers to compete? New data gives you traction.

New Sales Opportunities

If you can't identify the right providers, in the right locations, and in the right specialties and critical affiliations, you limit the effectiveness of your sales team. Count on Enclarity for the most complete and accurate set of health care provider data and affiliations in the business.

Is poor provider data putting you at risk? It's time to take control.

Health care provider data is a moving target, and you often don't know what you don't know. You want to work with providers who are active and in good standing. But if you're not keeping up on provider data changes such as sanctions or license status, you could be at risk. Take control of your provider data with Enclarity. We'll make sure the information is right. And we'll keep it that way.

Are data issues putting a crimp in claims? Improve accuracy with
Enclarity.

Claims Accuracy

Inaccuracies in health care provider data within a claim. Bad master file data that hinders an accurate match. These drive errors, lost dollars, and costly manual intervention. Enclarity improves the accuracy of your provider data, so you can improve claims accuracy and auto-adjudication.

Missed Discounts

A missed discount is a wasted opportunity to serve your business and your members. When in-network claims are paid out-of-network, it costs members and payers more than it should. Let Enclarity help you identify provider data and process errors. And don't let another opportunity pass you by.

If you can't recognize unique providers across claims and over time, you aren't seeing the whole picture. Which means you can't identify and aggregate their patterns of behavior. Enclarity brings claims data into focus so you can get the insights you need to
optimize your provider networks.

Need to streamline credentialing? Make it easier with Enclarity.

Credentialing is critical to your business. But it takes a great deal of time and effort. Enclarity can make the process easier by eliminating the need for certain external validation searches. We have the provider data. It's already validated. And we're URAC-CVO accredited. Count on Enclarity to give you the information you need to make credentialing more efficient and effective.

It’s not the quantity but the quality of health care provider data that matters to payers, PPOs and TPAs. Quality provider information gives you a better provider file and helps you more effectively navigate activities related to the Affordable Care Act. And that translates to:

Improved financial accuracy of claims processing

Better provider networks and fewer missed provider network discounts

More accurate provider directories

Assuring you can meet industry benchmarks with lower operational costs

Missing or outdated information about health care provider specialties and critical affiliations puts your competitive advantage at risk. Armed with better health care practitioner information, you can move to account-based selling—targeting and reaching the right providers, at the right time, with the right information, and in the right way. You achieve compliance with Aggregate Spend, track Corporate Integrity Agreements and PDMA compliance. And you can manage your master provider file more effectively.

You rely on quality health care provider information for market insights that support research and decision-making. Good health care provider data gives you a more accurate, up-to-date and integrated provider directory. It lets you resolve provider identity issues when working with multiple provider files from different health care payers or Exchanges. And it improves your ability to build stronger provider relationships, serve health care consumers, increase productivity, and reduce operational costs.

Health care provider information is essential to providers, hospitals, Accountable Care Organizations (ACOs), and health system operations. Correct, current and comprehensive provider information helps you not only identify and influence referring physicians, but also helps you find new opportunities to expand market share while improving financial performance. With it, you can improve service to your physicians and patients, while at the same time reducing costs and optimizing operational efficiency.

As a Pharmacy Benefit Manager (PBM), your ability to compete depends on the quality of your health care provider information. Quality provider data helps ensure prescribers are appropriately licensed, active, and in good standing. When the health care provider information you work with is accurate, you can contact prescribers securely, for more efficient claims processing. You’re aware of provider specialties and critical affiliations, and are better able to meet regulatory compliance standards. And you have the information you need to gain competitive advantage.

Provider SelectFile®

Provider SelectFile is a subscription service delivering point-in-time provider information. With it you get unrivaled depth, breadth and quality of provider information, and the power to select the slices of data to fit your exact needs and specifications. Read more.

ViewPoint™

ViewPoint is the most reliable health care provider/organization (HCP) affiliation framework in the industry. By linking HCPs to the right group affiliations and Corporate Entities, we help you identify and understand the connections and forces driving treatment choices and referrals, so you can make informed business decisions in the ever-shifting health care market. Read more.

ProviderLookup®

ProviderLookup gives you detailed, accurate and up-to-date demographic data on more than 6.5 million providers across the country. Log in at any time, from anywhere, using your secure password and ID. Read more.

Enclarity Alerts

Enclarity Alerts assures that your master data has the most accurate provider information available. We do this by using our unique Enclarity ID™ to track providers against information in our Master Provider Referential Database. As we continuously monitor provider key identifiers, affiliations, credentials, contact and other information, you will receive proactive updates when critical data changes take place. Read more.

Enclarity Email Append

Enclarity Email Append is the only email service designed to offer reliable physician business email addresses and the flexibility to decide how you want to license them—by campaign, unlimited annually, or for perpetual use. Read more.

VeriFax™

VeriFax assures you’re using a verified secure fax number for all your sensitive provider communications. The unique advantage that Enclarity VeriFax brings to the collection, verification and maintenance of verified secure fax data is our comprehensive database, which serves as our starting point for collection, verification and maintenance of verified secure fax data. Read more.

Enclarity Web Services

Enclarity Web Services gives you an automated and systematic way to keep your provider information accurate and up-to-date on a transaction-by-transaction basis. It’s the best Enclarity solutions delivered in real-time API. Read more.

Network Optimization

Enclarity Network Optimization gives you the power of complete insight on overlaps and gaps within multiple networks and databases with a point-in-time file of accurate and timely provider information.Read more.

Enclarity Claim Services

Enclarity ClaimCleanse™, an automated and systematic way to validate and address errors in provider information as each claim is submitted.

Enclarity Claim Indexing, helping you identify and track your health care providers across all claims in your data warehouse, regardless of changes to name and business affiliation, TIN, Provider ID, practice, or billing information over time.

Missed Discount Analysis, helping you identify claim errors so members and payers don’t pay more than they have to over time.

Other Services

Enclarity offers an array of Provider Information Services built around your business needs, from custom provider data collection, consultation, data hosting or reporting. When you need information or support that requires correct, current and comprehensive provider information, but doesn’t quite fit our standard list of services, we can meet your provider information needs. Read more.

Better provider information. Right now.®

Enclarity, a LexisNexis Company, solves health care's provider information problem by compiling the largest, most accurate and current medical provider database. Nine of the 15 largest health insurance plans, four of the 10 largest preferred provider organizations, five of the 15 top pharmaceutical companies and the two largest medical device manufacturers count on Enclarity. Our Solutions improve claims processing, provider directories, regulatory compliance and marketing optimization.